Specialist, Provider Engagement

The Provider Engagement Specialist role focuses on implementing Health Plan provider engagement strategies to achieve positive quality and risk adjustment outcomes. This includes ensuring Tier 2 and Tier 3 providers meet quality and risk adjustment goals, driving coaching, facilitating collaboration, and addressing practice environment challenges. The role requires tracking activity, communicating effectively with stakeholders, and ensuring compliance.

Requirements

• Ensures assigned Tier 2 & Tier 3 providers have a Provider Engagement plan to meet annual quality & risk adjustment performance goals.
• Drives provider partner coaching and collaboration to improve quality performance and risk adjustment accuracy.
• Addresses challenges/barriers in the practice environment impeding successful attainment of program goals.
• Tracks all engagement and training activities using standard Molina Provider Engagement tools.
• Serves as a Provider Engagement subject matter expert.
• Develops, organizes, analyzes, documents and implements processes and procedures.

Benefits

• Competitive benefits